OrganizationActive
Greater PT LLC
NPI 1790637916 · Physical Therapy Clinic/Center · Fort Smith, AR
Provider details
- NPI number
- 1790637916
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Micaiah Wagner, Owner(918) 658-0975
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5400 Gary St
Fort Smith, AR 72903-4744
Phone: (918) 658-0975
Street-level locationGet directions
Mailing address
701 South St
Mountain Home, AR 72653-4452
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.